Granader, Lawrence

Granader, Lawrence is an individual health care provider with primary practice located at 1647 Valencia St , San Francisco CA 94110-5012. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Granader, Lawrence can be contacted via phone (415) 647-3666.

Contact Information

Primary practice address
1647 Valencia St San Francisco CA 94110-5012
Phone: (415) 647-3666
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G38341 California

Profile Details

NPI number 1275644155
LBN Legal business name Granader, Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 15th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275644155 NPPES
California MEDICAID 00G383410

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